JODINE L JANZEN (OD) – Corneal and Contact Management Optometrist, NPI 1952396111

JODINE L JANZEN (OD) is a healthcare provider. based in Cambridge, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2586 (MN). The NPI Number for JODINE L JANZEN (OD) is 1952396111

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JODINE L JANZEN (OD)
NPI
1952396111
Phone
(763) 689-1494
Address
120 1ST AVE E
Enumeration Date
14 September 2005
Last Update Date
4 February 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7636891494
Graduation Year
1996 (30 years ago)
PAC ID
0547293433
Group Practice PAC ID
1658304530
Professional Enrollment ID
I20050912000946
Address ID
MN550081209CA120XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for JODINE L JANZEN (OD)

  • Subway, 120, 1st Avenue East, Cambridge, Isanti County, Minnesota, 55008, United States

    CAMBRIDGE, MN 550081209

    Phone: (763) 689-1494

    Fax: (763) 691-8395

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($109).

Total Amount

$180

General + Research + Ownership

Payments

2

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050912000946IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system171171$0
92250Photography of the retina10099$0
99213Established patient office or other outpatient visit, 20-29 minutes9066$0
99212Established patient office or other outpatient visit, 10-19 minutes3423$0
92004New patient complete exam of visual system1717$0
View full utilization report →

Insurance plans in this area (ZIP 55008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658304530View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I verify JODINE L JANZEN (OD) with an NPI only?
You can start verification with NPI 1952396111 for JODINE L JANZEN (OD), then check state licensing separately.
Is JODINE L JANZEN (OD) listed as active for patients and plans?
The listing shows JODINE L JANZEN (OD) as active in the NPI system.
What taxonomy line describes JODINE L JANZEN (OD)?
For research purposes, treat JODINE L JANZEN (OD) as Corneal and Contact Management Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does JODINE L JANZEN (OD) serve?
JODINE L JANZEN (OD)'s listing highlights Cambridge, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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